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DR. AARON DAVID AND DR. LARISSA FOMITCHEVA OB/GYN, PLLC

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Company Details

Name: DR. AARON DAVID AND DR. LARISSA FOMITCHEVA OB/GYN, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 27 Nov 2013 (12 years ago)
Entity Number: 4493770
ZIP code: 11566
County: Nassau
Place of Formation: New York
Address: 2829 FRANKEL BLVD, MERRICK, NY, United States, 11566

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 2829 FRANKEL BLVD, MERRICK, NY, United States, 11566

National Provider Identifier

NPI Number:
1891112520

Authorized Person:

Name:
MR. SETH MALAMUT
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
5167957450

Form 5500 Series

Employer Identification Number (EIN):
464203864
Plan Year:
2021
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
12
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
140122000701 2014-01-22 CERTIFICATE OF PUBLICATION 2014-01-22
131127000831 2013-11-27 ARTICLES OF ORGANIZATION 2013-11-27

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State